[Federal Register Volume 69, Number 113 (Monday, June 14, 2004)]
[Notices]
[Page 33081]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-13228]


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RAILROAD RETIREMENT BOARD


Agency Forms Submitted for OMB Review

    Summary: In accordance with the Paperwork Reduction Act of 1995 (44 
U.S.C. Chapter 35), the Railroad Retirement Board (RRB) has submitted 
the following proposal(s) for the collection of information to the 
Office of Management and Budget for review and approval.

Summary of Proposal(s)

    (1) Collection title: Public Service Pension Questionnaires.
    (2) Form(s) submitted: G-208, G-212.
    (3) OMB Number: 3220-0136.
    (4) Expiration date of current OMB clearance: 04/30/2007.
    (5) Type of request: Revision of a currently approved collection.
    (6) Respondents: Individuals or households.
    (7) Estimated annual number of respondents: 1,170.
    (8) Total annual responses: 1,170.
    (9) Total annual reporting hours: 294.
    (10) Collection description: A spouse or survivor annuity under the 
Railroad Retirement Act may be subjected to a reduction for a public 
service pension. The questionnaires obtain information needed to 
determine if the reduction applies and the amount of such reduction.
    Additional Information or Comments: Copies of the forms and 
supporting documents can be obtained from Charles Mierzwa, the agency 
clearance officer (312-751-3363) or e-mail [email protected].
    Comments regarding the information collection should be addressed 
to Ronald J. Hodapp, Railroad Retirement Board, 844 North Rush Street, 
Chicago, Illinois 60611-2092, or [email protected] and to the OMB 
Desk Officer for the RRB, at the Office of Management and Budget, Room 
10230, New Executive Office Building, Washington, DC 20503.

Charles Mierzwa,
Clearance Officer.
[FR Doc. 04-13228 Filed 6-10-04; 8:45 am]
BILLING CODE 7905-01-P